PLH for Teens - Hybrid Delivery

NCT05071924 | Completed

• 1 other identifier: PLH/M2M/HY21
• Study Type: interventional
• Target: 1,128
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to examine the implementation and effectiveness of the original version of PLH Teens delivered in-person (PLH Teens-Original) and a hybrid in-person and remote delivery of the programme (PLH Teens-Hybrid) as part of the Mothers2Mothers' (M2M) Children and Adolescents are My Priority (CHAMP) project in Mpumalanga, South Africa. It will also examine differential effects between PLH Teens-Original and PLH Teens-Hybrid on reducing risks of violence against children using propensity score matching. Lastly, it will examine the implementation feasibility of PLH Teens-Hybrid in terms of implementation fidelity; recruitment, retention, and engagement of parents and adolescents; and the relevance, acceptability, and satisfaction of the programme.

Conditions

Child Maltreatment; Positive Parenting

Keywords

Parenting programme; Child physical and emotional abuse

Outcome Measures

Primary Outcomes (2)

• Child Maltreatment: ISPCAN Child Abuse Screening Tools-Trial Version - Parent Report

  Child maltreatment will be assessed using a shortened version of the ISPCAN Child Abuse Screening Tools-Trial Version (9-item subscale ICAST-T). Parent respondents will be asked to indicate the frequency of emotional and physical discipline practices over the past month using a 9-point frequency count scale (0 = never; 8 = 8 or more times). Items include, "In the past 4 weeks, how often did you/your caregiver discipline your child/you by spanking, slapping or hitting with a hand?" and "In the past 4 weeks, how often did you/your caregiver shout, yell or scream at you?" In the past 4 weeks, how often did you/your caregiver discipline your child/you with an object like a stick or a belt?". Items are summed, with higher scores indicating greater use of harsh parenting.

  Change between Baseline and Post (approx. 4 months post-baseline)

• Child Maltreatment: ISPCAN Child Abuse Screening Tools-Trial Version - Teen Report

  Child maltreatment will be assessed using a shortened version of the ISPCAN Child Abuse Screening Tools-Trial Version (9-item subscale ICAST-T). Teen respondents will be asked to indicate the frequency of emotional and physical discipline practices over the past month using a 9-point frequency count scale (0 = never; 8 = 8 or more times). Items include, "In the past 4 weeks, how often did you/your caregiver discipline your child/you by spanking, slapping or hitting with a hand?" and "In the past 4 weeks, how often did you/your caregiver shout, yell or scream at you?" In the past 4 weeks, how often did you/your caregiver discipline your child/you with an object like a stick or a belt?". Items are summed, with higher scores indicating greater use of harsh parenting.

  Change between Baseline and Post (approx. 4 months post-baseline)

Secondary Outcomes (16)

• Parenting Stress: Parenting Stress Scale

  Change between Baseline and Post (approx. 4 months post-baseline)

• Child Maltreatment - Physical Abuse and Emotional Abuse: ISPCAN Child Abuse Screening Tool-Intervention (ICASTTP) - Physical and Emotional Abuse Subscales

  Change between Baseline and Post (approx. 4 months post-baseline)

• Positive Parenting: Alabama Parenting Questionnaire - Parent Report

  Change between Baseline and Post (approx. 4 months post-baseline)

• Positive Parenting: Alabama Parenting Questionnaire - Teen Report

  Change between Baseline and Post (approx. 4 months post-baseline)

• Child Behaviour Problems: Strengths and Difficulties Questionnaire - Parent Report

  Change between Baseline and Post (approx. 4 months post-baseline)

Other Outcomes (7)

• Demographics: Demographic Survey - Parent Report

  Baseline

• Demographics: Demographic Survey - Teen Report

  Baseline

• Enrolment Rates of Participant Engagement: Weekly Facilitator Survey - Facilitator Report

  Weekly from week 1- 12 for hybrid delivery and week 1-14 for in-person delivery

Study Arms (2)

PLH Teens Original

EXPERIMENTAL

The original in-person PLH programme is delivered by community-based workers in low-resource settings. Implementation occurs in a group-based format with both joint parent and teen sessions (10 sessions) and separate parent and teen sessions (4 sessions).

Behavioral: PLH Teens Original: In-person PLH programme for parents and teens by community-based workers

PLH Teens Hybrid

EXPERIMENTAL

The hybrid delivery of PLH Teens consists of 8 sessions delivered to parents via WhatsApp (ParentChat-Teens) and 4 sessions delivered to parents and adolescents in person.

Behavioral: PLH Teens Hybrid: Hybrid delivery for parents and teens by facilitators

Interventions

PLH Teens Original: In-person PLH programme for parents and teens by community-based workers BEHAVIORAL

This in-person intervention is delivered over 14 sessions (10 joint parent and teen sessions and 4 separate parent and teen sessions).

PLH Teens Original

PLH Teens Hybrid: Hybrid delivery for parents and teens by facilitators BEHAVIORAL

The hybrid intervention delivered over 12 sessions (8 sessions delivered via WhatsApp groups to parents only and 4 sessions delivered in-person to parents and teens together).

PLH Teens Hybrid

Eligibility Criteria

• Age: 18 Years - 99 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Any person over the age of 18 currently caring for a child between the ages of 10 and 17
• Has the ability to attend the in-person parenting support group (PLH Teens-Original)
• Has access to a WhatsApp compatible smartphone and is willing to join an online parenting support group (PLH Teens-Hybrid)
• Has provided consent to participate in the study
• Must be between the age of 10 and 17
• Has a parent or caregiver who is participating in the programme
• Parent has provided consent to participate in the study
• Has provided assent to participate in the study
• The facilitator must be over the age of 18
• Has completed a facilitator training workshop specifically for the PLH-Teens hybrid delivery prior to intervention delivery
• Is able to access the in-person session location
• Has a smart-phone or device capable of delivering the programme via an online platform such as WhatsApp or Viber
• Has provided informed consent to participate in the study

Sponsors & Collaborators

• University of Oxford: lead
• Mothers2Mothers: collaborator
• University of Cape Town: collaborator

Study Sites (1)

University of Oxford

Oxford, Oxfordshire, OX1 2ER, United Kingdom

Location

Study Officials

• Jamie M. Lachman, DPhil

  University of Oxford

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: This is a pre-post study with assessments at baseline and immediate post- intervention.

Study Record Dates

• First Submitted: September 27, 2021
• First Posted: October 8, 2021
• Study Start: July 5, 2021
• Primary Completion: December 31, 2021
• Study Completion: June 1, 2022
• Last Updated: May 8, 2024

Record last verified: 2024-05

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: Indefinitely
• Access Criteria: Accessibility of the data will require approval from the study team. The study investigators, led by the PI, will jointly make decisions on whether to supply research data to potential new users. Research data will be deposited in and available in the UK Data Archive solely for non-profit use.

Locations

GB (1)